Field Notes & Architecture Briefings

Healthcare AI & Infrastructure Insights

Real engineering decisions, security blueprints, and cloud lessons from production healthcare platforms and multi-tenant systems.

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Featured Briefing

AWS InfrastructureSep 1, 20265 min read

Scaling Patient Care Without Losing the Human Part

I have sat in rooms a few times with clinic directors and hospital IT leads all wrestling with the same question.

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All Articles & Case Notes

HIPAA Security

The Silent Data Leak in HealthTech: Why Application-Level Security Fails Founders

When building a digital health platform or multi-tenant SaaS company, data security is not just an engineering checklist item; it is a core business asset.

Jul 21, 20265 min read

HIPAA Security

The HIPAA Compliance Bottleneck: Why I Built an Open-Source Security Envelope on AWS

How digital health startups waste months on infrastructure, the hidden security gotchas of default AWS services, and how to automate compliance using hardened Terraform blueprints.

Jun 26, 20265 min read

Healthcare AI

Why serverless AI inference made sense for a healthcare workload, and where it created problems?

When I was designing the AI inference pipeline for a healthcare platform I was leading, the choice between running a persistent server and going serverless came down to one characteristic of the workload that everything else followed from: the demand was not uniform, and it was not close to uniform.

May 22, 20265 min read

AWS Infrastructure

How I reduced AWS costs by 50% on a production healthcare AI system?

The healthcare AI platform I was working on had been running in production for several months.

May 20, 20265 min read

AWS Infrastructure

Why I am starting Production Grade?

Most online engineering writing is either a tutorial for beginners or a trend piece about something nobody has actually shipped yet.

May 20, 20265 min read